Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanael W Ridge, PA, PHD

Individual provider Psychologist · NPI 1134424641

Nathanael W Ridge, PA, PHD is a Psychologist in Murray, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5770 S 250 E #290
Murray, UT 84107-8100
Phone: (801) 747-8700
Fax: (801) 747-8701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1909 S 4250 W Ofc A, Salt Lake City, UT 84104-4837 — (801) 675-8777

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6833666-1206 (UT)
Psychologist Taxonomy 103T00000X · Licence 68336662501 (UT)

Record details

NPI number1134424641
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , PHD
Sole proprietorNo
NPI enumeratedJanuary 13, 2011
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023

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